NPI | 1215813936 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY LISA HUBER Owner 404-348-8315 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
101YM0800X Counselor, Mental Health | |
171400000X Health & Wellness Coach | |
Enumeration Date | 2025-08-15 |
Last Update Date | 2025-08-15 |